fusion

  1. H

    Wiki Arthrodesis 4th metatarsophalangeal joint?

    Provider performed a fusion (with a metal plate) on the 4th MTPJ and I can only find a code when the fusion is performed on the 1st MTPJ (great toe 28750). Can anyone direct me as to what would be used for the 4th? Provider performed a partial phalangectomy and fusion of the 4th MTPJ. Thank...
  2. kimmcelderry@gmail.com

    Wiki Cervical osteotomy and fusion help

    The physician describes a Posterior Pedicle Subtraction osteotomy at C7. Also, extracavitary fusion C6-T1. I only see codes for 3 column osteotomies as thoracic or lumbar, same for the extracavitary fusion. Any suggestions? "After the instrumentation, I started C7 pedicle subtraction...
  3. N

    Wiki Foot fusion question

    I need some help wrapping my head around some of these fusion codes. The physician did a medial cuneiform to navicular fusion, then a intercuneiform fusion (medial and intermediate), then a 2nd TMT fusion, then a 3rd TMT fusion. I can see how this should be 28730 for the 2 midtarsal fusions. I...
    • nmendez1
    • Thread
    • foot fusion multiple joint fusion tmt fusion
    • Replies: 6
    • Forum: Orthopaedics
  4. C

    Wiki HELP- Coding T10-S1 Spinal fusion

    What would be the proper ICD 10 code for a spinal fusion of the T10-S1? It basically covers the whole spine so I'm not sure how to code that thank you
    • chankim
    • Thread
    • fusion icd 10 spinal
    • Replies: 2
    • Forum: ICD-10
  5. P

    Wiki Transforaminal interbody fusion combined with posterior fusion at thoracic levels

    Our surgeon performed a posterior fusion from T5-T12 and also performed transforaminal interbody fusion at T8-9 and T9-10. For the lumbar spine, if posterior and TLIF are performed at the same level, we would use the combination code 22633. But I don't know what to use for thoracic. Can...
  6. K

    Wiki Spine help please

    WE ARE UNSURE HOW TO CODE THIS SURGERY AND WOULD APPRECIATE ANY HELP YOU CAN OFFER PLEASE. FOR THE OPEN SI FUSION, 27280? WHAT ABOUT THE REMOVAL OF PREVIOUS HARDWARE? SHOULD WE USE 22830 FOR EXPLORATION? I HAVE ONE PERSON SAYING TO USE, "27280, 22830, AND 22853." AND ANOTHER SAYING, "27280...
  7. J

    Wiki Surgery Coding Help

    Can someone help me code for this procedure please thank you! PROCEDURE PERFORMED: 1. Re-exploration of lumbar wound. 2. Utilization of intraoperative fluoroscopic imaging. 3. Removal of L4-5 transforaminal lumbar interbody fusion spacer. 4. L4-S1 posterolateral autologous lumbar fusion...
  8. K

    Wiki Instrumentation with spinal fusion

    Procedure: Anterior cervical discectomy & Fusion C5 Anterior discectomy for decompression w/fusion C6-7 Placement of biomechanical interbody device C5-6 Placement of biomechanical interbody device C6-7 Anterior Cervical instrumentation...
  9. D

    Wiki Please help! Neurosurgery

    Our Neurosurgery coder had to be out unexpectedly - I am only confusing myself the more I read! Please help! 1. Left-sided lumbar microlaminectomy and discectomy for HNP - L5-S1 2. Lumbar facet fusion for joint laxity. L5-S1 I believe I am confused on the combo codes - when and when not to use...
  10. J

    Wiki Acdf

    Trying to determine the CPT code for : 1. Ant.cervical interbody fusion C6-7 2. Implantation of PEEK spacer C6-7 3. Ant. plating C6-7 4. Ant. diskectomy and foraminotomy C6-7 5. Removal of Plate C5-6 6. Exploration of fusion C5-6 Also, any material that would be a good resource for...
    • jeharris
    • Thread
    • acdf fusion peek plating
    • Replies: 0
    • Forum: ICD-10
  11. L

    Spinal Hardware Removal

    If the surgeon removes fusion hardware at the L4(locking cap, portion of rod, tulip head, and pedicle screw) in a patient with a history of fusion L4 - S1 can we code 22830 for Exploration of Fusion? During the procedure, the surgeon states "The fusion bed at this level appeared to be robust...
  12. J

    Wiki SI joint fusion

    I'm looking for a diagnosis code for Osteoarthritis SI joint. I cant find any reference to SI joint anywhere. I'm leaning towards M47.818. Also, I am having a hard time getting pre-authorization for a perc SI joint fusion. Wondering if anyone has any tips. All suggestions are appreciated.
    • Jdevoid
    • Thread
    • fusion joint osteoarthritis si joint perc si joint fusion
    • Replies: 0
    • Forum: Orthopaedics
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